Hemodynamic Performance of Transcatheter Aortic Valves: A Comprehensive Review.
Domenico AngellottiRachele ManzoDomenico Simone CastielloMaddalena Immobile MolaroAndrea MarianiCristina IapiccaDalila NappaFiorenzo SimonettiMarisa AvvedimentoAttilio LeoneMario Enrico CanonicoCarmen Anna Maria SpaccarotellaAnna FranzoneFederica IlardiGiovanni EspositoRaffaele PiccoloPublished in: Diagnostics (Basel, Switzerland) (2023)
Transcatheter aortic valve implantation (TAVI) is a widely adopted treatment option for patients with severe aortic stenosis. Its popularity has grown significantly in recent years due to advancements in technology and imaging. As TAVI use is increasingly expanded to younger patients, the need for long-term assessment and durability becomes paramount. This review aims to provide an overview of the diagnostic tools to evaluate the hemodynamic performance of aortic prosthesis, with a special focus on the comparison between transcatheter and surgical aortic valves and between self-expandable and balloon-expandable valves. Moreover, the discussion will encompass how cardiovascular imaging can effectively detect long-term structural valve deterioration.
Keyphrases
- aortic valve
- transcatheter aortic valve implantation
- aortic stenosis
- aortic valve replacement
- transcatheter aortic valve replacement
- ejection fraction
- high resolution
- end stage renal disease
- left ventricular
- heart failure
- prognostic factors
- peritoneal dialysis
- fluorescence imaging
- early onset
- smoking cessation
- mitral valve
- patient reported outcomes
- chronic kidney disease
- atrial fibrillation